Individual provider · Type 1 NPI
Wanda Burns Jackson, LPC
Professional Counselor · Juliette, GA
NPI number
1881146397
Active
Practice location
20 Willow Way
Juliette, GA 31046-4073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007202 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Juliette
About NPI 1881146397
Wanda Burns Jackson, LPC's National Provider Identifier is 1881146397, issued on Oct 31, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Juliette, GA. The record was last updated on Oct 31, 2016.